Organization
PATHFINDER SUPPORT SERVICE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOUGLAS WATSON MED (EXECUTIVE DIRECTOR)
(402) 721-1414
Entity
Organization
Contact information
Practice address
212 E 8TH ST, FREMONT, NE 60825
(402) 721-1414
(412) 753-9914
Mailing address
212 E 8TH ST, FREMONT, NE 60825
(402) 721-1414
(412) 753-9914
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
P658
NE
Other
Enumeration date
07/16/2008
Last updated
07/16/2008
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